Jang Si-Hyong, Cho Hyun Deuk, Lee Ji-Hye, Lee Hyun Ju, Hong Soon Auck, Cho Junhun, Kim Han Jo, Oh Mee-Hye
Department of Pathology, Soonchunhyang University Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea.
Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea.
J Clin Pathol. 2017 Jul;70(7):625-630. doi: 10.1136/jclinpath-2016-204071. Epub 2016 Dec 15.
Lung cancer is the leading cause of cancer-related deaths worldwide, and it still results in a poor prognosis despite research and development of a treatment modality. Angiomotin (AMOT) was first described as a protein involved in angiogenesis, and although the oncogenic and tumour-suppressive roles of AMOT were recently reported, the biological function of AMOT has not yet been clarified. The aim of this study was thus to evaluate the relationship between reduced AMOT p130 expression and clinicopathological parameters, including patients' survival.
We enrolled 67 patients with lung adenocarcinoma in this study and measured the immunoreactivity of AMOT p130 in a tissue microarray. The data were analysed using a χ test, Cox regression hazards model and log-rank test with Kaplan-Meier curves.
Reduced AMOT p130 expression is related to lung adenocarcinoma developed at a young age with statistical significance, but there is no statistical significance for the other clinicopathological parameters. Kaplan-Meier curves with log-rank test showed that reduced AMOT p130 expression had significantly better survival rate compared with the retained group (p=0.002). Univariable and multivariable analyses of the disease free survival revealed that the decreased AMOT expression was an independent prognostic factor (p=0.004, p=0.008, respectively).
Decreased AMOT p130 could be an independent indicator of poor survival in patients with lung adenocarcinoma.
肺癌是全球癌症相关死亡的主要原因,尽管有多种治疗方式的研发,但预后仍然较差。血管动蛋白(AMOT)最初被描述为一种参与血管生成的蛋白质,尽管最近报道了AMOT的致癌和抑癌作用,但其生物学功能尚未阐明。因此,本研究旨在评估AMOT p130表达降低与临床病理参数(包括患者生存率)之间的关系。
本研究纳入了67例肺腺癌患者,并在组织芯片中检测了AMOT p130的免疫反应性。使用χ检验、Cox回归风险模型和带有Kaplan-Meier曲线的对数秩检验对数据进行分析。
AMOT p130表达降低与年轻患者发生的肺腺癌相关,具有统计学意义,但与其他临床病理参数无统计学意义。带有对数秩检验的Kaplan-Meier曲线显示,与保留组相比,AMOT p130表达降低的患者生存率显著更高(p = 0.002)。无病生存期的单变量和多变量分析显示,AMOT表达降低是一个独立的预后因素(分别为p = 0.004,p = 0.008)。
AMOT p130降低可能是肺腺癌患者生存不良的独立指标。